First Light Wellness Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FIRST LIGHT WELLNESS CENTER

Practice address

6463 Proprietors Rd Ste 201
Worthington, OH 43085-3263

Phone

(513) 629-0040

NPI assigned

Dec 12, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul Kyei

Title

Practice Owner

Phone

(513) 629-0040

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nyla Smith, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dublin, OH
  • NPI 1669060083
  Medicare reassignment NPD
• Elizabeth Adu-Gyamfi

  • Women's Health Nurse Practitioner
  • West Chester, OH
  • NPI 1518566785
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1184431280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6463 PROPRIETORS RD STE 201",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853263",
            "telephone_number": "513-629-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6463 PROPRIETORS RD STE 201",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853263",
            "telephone_number": "513-629-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST LIGHT WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "KYEI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "513-629-0040"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• N'Dia Fillmore
• Tiffany Fillmore
• Lynn Finefrock
• Mariah Hannah Finnegan
• William M Finnegan, PHARMD
• Aleah B Fischer
• Emily Tedford Fischer
• Abriana Bernice Fisher
• Heather R Fisher
• Kaylee Fisher, CDCA/CM

• Mental Health Clinic/Center (Including Community Mental Health Center) in Worthington, OH
• Providers in Worthington, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.